Individual
BERNARDINE C HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3506 KENNETT PIKE, PAIN MANAGEMENT & REHABILATATIVE INSTITUTE, WILMINGTON, DE 19807-3019
(302) 661-3070
(302) 661-3080
Mailing address
PO BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7362
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000180
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801867585
—
DE
01
—
P00303011
RAILROAD MEDICARE
—
Enumeration date
01/30/2006
Last updated
02/22/2008
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